K Number
K971066
Device Name
TAMARYN I.V. FLOW REGULATOR EXTENSION SET
Date Cleared
1997-06-04

(72 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Tamaryn I.V. Flow Regulator Extension Set is used to control the flow rate of administration infusion fluids to a patient during a gravity intravenous infusion.
Device Description
Tamaryn I.V. Flow Regulator Extension Set
More Information

Not Found

None

No
The 510(k) summary describes a mechanical flow regulator for IV fluids and contains no mention of AI, ML, or related concepts.

No
The device controls the flow rate of intravenous fluids, which is a supportive function during therapy but does not directly provide therapeutic benefits.

No

Explanation: The device is described as an I.V. Flow Regulator Extension Set used to control the flow rate of administration infusion fluids. This function is therapeutic and operational, not diagnostic.

No

The device description explicitly states "Tamaryn I.V. Flow Regulator Extension Set," which is a physical medical device used to control fluid flow, not a software application.

Based on the provided information, the Tamaryn I.V. Flow Regulator Extension Set is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "control the flow rate of administration infusion fluids to a patient during a gravity intravenous infusion." This describes a device used in vivo (within the body) for administering fluids directly to a patient.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Providing information about a patient's health status, disease, or condition based on sample analysis.
    • Use in a laboratory setting.

IVDs are devices used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The Tamaryn I.V. Flow Regulator Extension Set is a device used for the delivery of fluids to the body, not for analyzing samples from the body.

N/A

Intended Use / Indications for Use

The Tamaryn I.V. Flow Regulator Extension Set is used to control the flow rate of administration infusion fluids to a patient during a gravity intravenous infusion.

Product codes

FPA

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

0

Image /page/0/Picture/1 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICE - USA" around the edge. Inside the circle is a stylized image of an eagle. The eagle is facing to the right and has its wings spread.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 4 1997

Mr. Jim Keane ·President Tamaryn Medical Systems, Incorporated 6539 South 2475 East Salt Lake City, Utah 84121

K971066 Re : Tamaryn I.V. Flow Requlator Extension Set Trade Name: Regulatory Class: II Product Code: FPA Dated: March 21, 1997 Received: March 24, 1997

Dear Mr. Keane:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) requlation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

1

Page 2 - Mr. Keane

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market,

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 630-2041 or at (301) 443-6597.

Sincerely yours,

Timothy R. Ulatowski

AVIV Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

K97/066

INDICATIONS FOR USE

510(k) Number:

Device Name: Tamaryn I.V. Flow Regulator Extension Set

Indications For Use:

્વ

The Tamaryn I.V. Flow Regulator Extension Set is used to control the flow rate of administration infusion fluids to a patient during a gravity intravenous infusion.

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) Pabara Cucentt
Division of Dental, Infection Control,
and General Hospital Devices
F Number K971066

OR

Prescription Use: (Per 21 CFR 801 109) Over-The-Counter Use: